Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.07 / $1,045.98 / $3,670.21	Professional		$769.07	$1,045.98	$3,670.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.14 / $1,144.14 / $1,144.14	Facility		$1,144.14	$1,144.14	$1,144.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.59 / $1,138.40 / $1,144.14	Professional		$570.59	$1,138.40	$1,144.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $558.50 / $767.94 / $1,144.14	Facility		$558.50	$767.94	$1,144.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $704.26 / $1,138.40 / $1,523.90	Professional		$704.26	$1,138.40	$1,523.90
United Facility/Professional Professional Modifier Low / Median / High Price $928.25 / $1,111.03 / $1,251.75	Professional		$928.25	$1,111.03	$1,251.75